Health Quarterly April 2020 Jacksonville Journal-Courier by Hearst Midwest

Health Quarterly April 2020

Special Supplement to the

April 2020 HEALTH QUARTERLY

COVID-19 SAFETY TIPS FOR THOSE AT RISK

Article & Photo Submitted By: Passavant Area Hospital Older people and people with serious, longterm medical conditions like heart disease and diabetes are at greater risk of contracting the COVID-19 virus. Check out these guidelines from the Centers for Disease Control and Prevention for people who are at a higher risk: Practice good handwashing habits. Use soap and water and wash for at least 30 seconds. If soap and water are not available, use hand sanitizer with at least 60 percent alcohol. Practice social distancing. Avoid crowds and stay away from public places. Even low-risk people should stay home to avoid spreading symptoms. If you believe you have COVID-19, call your doctor instead of going to a clinic or emergency room. Avoid non-essential travel and stay home as much as possible. Schedule your groceries and other supplies to be delivered to your home. If you must go out in public, wash your hands often, avoid frequently touched surfaces like handrails and elevator buttons and keep at a distance from others. Stay away from people who are sick, including people in your own home. This may mean sleeping alone or avoiding close contact with family members. Maintain an ample supply of food, household items and prescription medications at home. Your doctor can help you obtain an extra supply of your medications. Clean and disinfect frequently touched surfaces in your home. Be aware of the symptoms of COVID-19, including shortness of breath, fever and cough. Call your doctor if you notice these symptoms. Memorial Health System has processes in place at our hospitals and affiliate locations to screen and identify potential cases of infectious disease, including COVID-19. We are prepared to safely care for patients. For more information about the public health response

to novel coronavirus 2019, visit the Illinois Department of Health or CDC websites. Concerned about flu or respiratory illness? Drive-Thru Screening for Respiratory Illnesses, including COVID-19 is available in Springfield and Decatur Patients with respiratory symptoms such as cough, chest congestion, sore throat, difficulty breathing and fever can now be

screened for respiratory infections, including COVID-19, the new coronavirus, at the respiratory clinics. Screening and evaluation will be performed while the patient remains in their vehicle. Springfield - Respiratory Clinic at Memorial Physician Services – South Sixth, 2950 South Sixth Street, Springfield, IL 62703. Open 7 days per week, 8 am – 8 pm. You can sign up

for drive-thru screening by calling 217-5884019. Decatur - Respiratory Clinic at DMH ExpressCare East, 4455 E. U.S. 36, Decatur, IL 62521. Open 7 days per week, 8 am – 6 pm. You can sign up for drive-thru screening by calling 217-876-1200.

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April 2020

How families can 3 tips to planning efficient confront remote learning home-cooked meals

A few generations ago, dining out was an experience reserved for special occasions. However, until recently, when restaurants were shuttered in the wake of the public health crisis prompted by the spread of COVID-19, many people were dining out multiple times a week. Hospitality solutions provider Fourth surveyed 1,000 American adults in 2019 and 56 percent reported dining out at least two to three times per week. Ten percent said they ate out four to six times each week, while 6 percent said they dined out everyday. People accustomed to relying on restaurant for meals multiple times per week may be unaccustomed to cooking many meals at home, which has become the norm thanks to restrictions placed on restaurants and other food-related businesses as part of COVID-19 social distancing precautions. Learning how to shop for food and prepare items by maximizing available ingredients can reduce trips to the store and help people reduce food waste at a time when food is not as readily available as it once was.

1. Plan meals/browse circulars

Meal planning and shopping lists are vital tools for people preparing meals at home. Without doing so, individuals can be left floundering in the supermarket, spending more money than necessary and making impulse purchases (all the while forgetting items they truly need). Use sales

circulars to browse weekly discounted items at stores. Build a week’s worth of meals off of these sale items - going so far as to write out a cursory menu - then fill in any extra ingredients or staples needed on a shopping list. Leave a day or two for leftovers. Try organizing the list to follow the natural layout where items are arranged in the store.

2. Shop smart

With paper and pen in hand or a digital list compiled on your phone, go aisle by aisle and check off items as they are added to the cart. If you are shopping for food you hope will last a week or more, consider substituting canned and frozen foods and other nonperishables for fresh items because they can be stored for longer periods of time. “Club size” or “family size” packages of foods may cost less per volume and can be sub-divided and stored for later use.

3. Minimize waste

Cook only as much as is needed for the household. Generally speaking, a meat or poultry serving of three to four ounces per person is adequate. That means a roast or steak of 11/2 to two pounds is fine for a family of four. Use up older frozen or perishable foods first. Store foods properly and use them before the use-by date. Wrap up leftovers and turn them into new meals. With proper planning and smart thinking, homecooking can be more efficient and less wasteful.

Amid concerns of coronavirus clusters and efforts to stop the spread of COVID-19, and based on social distancing recommendations from medical professionals, schools across the country began to close their doors and adopt a remote learning model in March 2020. One of the largest communities affected was New York City, which closed schools across the five boroughs. The New York City school system is vast, with 1,800 schools servicing more than one million students. School administrators and educators quickly scrambled to find a workaround to meet children’s educational needs. Remote learning has been a part of many school curriculums for some time. While remote learning had predominantly been reserved for higher learning institutions, in the wake of the COVID-19 outbreak, it became a necessity for grades K through 12 as well. Teachers have had to design curriculums and assignments virtually on the fly in an attempt to minimize disruptions that could adversely affect students. Remote learning requires the cooperation of school staff and also parents and guardians. Patience is necessary, and parents and educators may need to completely transform their daily schedules. The following tips can be an asset as students continue to navigate remote learning. · Record class sessions. Teachers can consider

recording or “going live” with class instruction so that students can view the video and still have access to their teachers. This helps parents who may be unfamiliar with explaining the curriculum. · Utilize chat features. Remote education software programs likely have a chat or “hangout” feature, which enables classrooms to keep in touch and ask questions in real time. · Keep a schedule. It’s easy to begin to sleep late and fall out of routine when not required to go to a school building. Families should make scheduling a priority, which can help students stay on top of lessons and complete their assignments on time. · Ask questions. Everyone is learning as they go, and further clarification may be needed. Students should email or chat with teachers if they don’t understand an assignment or are unsure about instructions. Teachers may be able to clearly model a math problem or explain a concept via video chat for students who need help. · Explore educational options. Many companies are offering free educational services while kids are home from school. Scholastic. com is offering online courses, Nat Geo for Kids, Fun Brain, PBS Kids, and Highlight Kids are other places to turn to for activities. Remote learning has become the new norm as the world continues to navigate COVID-19 in an effort to keep the public safe.

April 2020 HEALTH QUARTERLY

Making the Most of Your Day During Quarantine in a Skilled Nursing Facility

Article Submitted By: White Hall Nursing The move to a Skilled Nursing Facility, whether short term or long term, comes with its own challenges. It is a complete change in your daily routine and life as you knew it. The Social Service and Activity Departments assist families in trying to make the transition as smooth as possible. Many things the resident looks forward to are the enjoyment of family visits, meeting in common areas with other residents they have made friends with, group activities (bingo, musical events, family nights, games, reminiscing and church services), going on outings to the community and simply walking through the building for exercise and interaction. All of this has been put on hold due to the guidelines that have been set in place by the CDC and Department of Public Health to protect each of us from the current COVID-19 virus pandemic. The current

quarantine precautions are nationwide and affect everyone. Unfortunately, residents in skilled nursing facilities are impacted a bit more related to changes in environment they have already had to adapt too. As a staff member of a skilled nursing facility now more than ever in history is it a time to “rise to the occasion” and do our best to provide value to the residents and get creative. Here at White Hall Nursing and Rehabilitation, LLC we have made every attempt to maintain a quality of life for our residents. We are lucky to have a variety of staff with creative minds and talents. Some things we have done to make their days fun and provide as much engagement and distraction as possible are theme days (County Fair Day, Wacky Tacky Wednesday, Hillbilly Day, Spirit Day, etc), remote race car races, hallway concerts, popcorn bar carts, sundae carts, deer hunting, Minute-to-Win-It Olympics and quarantine interviews. All of this has been done on the individual wings with residents

maintaining the 6 ft. social distancing. Also using the technology of today has helped ease minds and hearts with face time calls between residents and their families. Department Heads make weekly calls to families to keep them informed on the status and wellbeing of their loved one. Holidays without family contact will be difficult. A Family Easter Parade through the parking lot will help brighten their Good Friday. One thing that can be taken from this whole experience, not only as staff members or residents, but as human-beings is that we all “gather”. It’s been a part of our history from the beginning –to gather. Whether it is at a church, a concert event, sporting events, family event & reunions, we all gather. We are continuing to gather to make the most of our moments together to see this whole situation through. But we’ve learned being there for one another in any way we can is so important and we are all in this together.

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5 HEALTH QUARTERLY

HELP KIDS COPE WITH COVID-19 ANXIETY

Article & Photos Submitted By: Passavant Area Hospital The COVID-19 outbreak has disrupted the lives of children across central Illinois and the world. Home from school, adrift from their friends and daily schedules, it’s no surprise that many are feeling anxious and fearful. As parents, it’s important to remember that your children are looking to you to learn how to cope with stress and anxiety. One way to help children feel more in control of the situation is to teach preventive measures like proper handwashing and social distancing. You can also find ways for your family to help others, like sending cards to elderly people who live alone or making signs thanking healthcare workers. Here are some other ways to help your children feel less anxious during the outbreak:

· Have open conversations about COVID-19 and encourage your children to talk about their concerns. · Place limits on screen time if news on TV or social media is upsetting. · Use age-appropriate language to explain how illness spreads, and what can be done to avoid becoming sick. Practice covering coughs and sneezes and wash your hands together. · Instead of focusing on the things you can’t do because of social distancing, focus on the things you can do. Learn a new skill as a family, or do fun activities like baking cookies or playing board games. · Help older children understand that rumors they see on social media may not be true. Teach them how to access factual information from sources like the Centers for Disease Control and Prevention or World Health Organization. · Try to keep a normal routine as much as possible, including healthy food and sleep habits.

April 2020

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April 2020 HEALTH QUARTERLY

Can Untreated Hearing Loss Cause Dementia and Depression?

Article Submitted By: Central Illinois Hearing In a study of 639 individuals over a 12-year period, investigators from the John’s Hopkins School of Medicine found a possible “causative relationship between hearing loss and dementia and Alzheimer’s disease”. The individuals studied ranged in age of 36 and 90 years. Of these, 184 had identified hearing loss while 58 were diagnosed with dementia (including 37 with Alzheimer’s) during the follow-up period. They concluded, “the risk of all-cause dementia increased with diagnosed hearing loss”. Furthermore, according to the

researchers “for individuals older than 60 years, more than one-third of the risk of dementia increased with hearing loss”. Another study concluded that untreated hearing loss significantly increases the likelihood of depressive symptoms in adults. Someone with a least a mild hearing loss is about as twice as likely to have depression as someone with normal hearing. Earlier studies have found strong associations between untreated hearing loss and social isolation, dementia, injuries associated with falls, reduced quality of life and increased health costs. Research also demonstrates that when hearing loss is treated

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with the use of hearing devices it significantly minimizes some of these negative effects, including cognitive decline. The bottom line is study after study conclude that the use of hearing aids when used in the treatment of hearing loss can significantly reduce symptoms of depression by encouraging more social engagement, the reduction of dementia by keeping the center of the brain responsible for audition stimulated and a reduction in anxiety by keeping engaged in conversation. Untreated hearing loss can cause other co-morbidities which can result in a decline in overall health. Hearing loss is the 3rd most common health issue among older Americans. Moreover, most of us who have a hearing problem don’t know it because there are no physical signs of hearing loss and it is gradual and painless. Effective treatment of hearing loss can lead to a healthier lifestyle. There are more ways to improve communication with Bluetooth available technology in todays advanced hearing aids which has increased patient satisfaction. Better communication does lead to better health! David Groesch Au.D Doctor of Audiology Central Illiniois Hearing Jacksonville IL

Good News!

Article & Photo Submitted By: Mosquito Squad According to the Center of Disease Control and Prevention, mosquitoes do not transmit COVID-19, however, they do transmit other diseases such as Zika virus, West Nile virus, Chikungunya virus, dengue, and malaria and as the weather warms up, we all should expect to see these bugs more often. We know as Spring warms into Summer, outdoor activities will be more common and social distancing will get a bit easier as we can all get out of the house for a while, walk around the neighborhood, play in the backyard, or maybe just sit on the front porch. However, while social distancing is proven to protect against contracting the novel Coronavirus, any time spent outdoors with mosquitoes around can put you at risk for other highly contagious and unwelcome symptoms caused by common mosquito-borne diseases such as West Nile. According to the CDC, West Nile symptoms can include high fever, headache, neck stiffness, stupor, disorientation, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis. Severe illness can occur in people of any age; however, people over 60 years of age are at greater risk. Don’t forget our fur babies! The FDA explains that heartworm disease is serious and can result in severe lung disease, heart failure, other organ damage, and death in pets, mainly dogs, cats, and ferrets. It is caused by a parasitic worm called Dirofilaria immitis. The worms are spread through the bite of a mosquito. Eliminating mosquitoes can reduce your pet’s risk of heartworm. Make sure you talk to your Vet to ensure that your pets are protected and compliment their program with a complete mosquito treatment program. We want everyone to stay healthy at home, and practice social distancing to protect against COVID-19, however, we also want to help you protect yourself against mosquito-borne diseases. Season coverage includes the SQUAD coming out to treat your yard every 21 days (and anytime between if you need us to) to make sure your mosquito population is regularly knocked down and your yard is taken care of by our technicians so it’s not providing a breeding ground for mosquitoes. Call us at 217-919-9292 for a free quote and let us provide you with the customized protection your yard, family and even pets need!

7 HEALTH QUARTERLY

April 2020

HORMONES AND HEALTHY BONES: WHAT’S THE LINK?

Article & Photos Submitted By SIU Women’s Health Center June 10, 2019 | Casey Younkin, MD Bone health matters—no bones about it! At SIU Medicine, our team is educating the community to learn more about bone health, including what can affect your bone mineral density and how to protect it.

The bare bones of bone health: 5 quick things to know

1. Bone mineral density refers to how strong your bone tissue is. The lower your bone mineral density, the weaker your bones. 2. Most people achieve peak bone mineral density by their late 20s. After this age, the focus is on maintaining bone strength and minimizing bone mineral loss. 3. Drinking milk, just by itself, may not be good for your bones! Research has found that countries with the highest consumption of dairy products (like the U.S.) also have the highest incidence of bone fractures. And while calcium can support bone health, other nutrients like magnesium and Vitamin D are just as important. You can find all of these nutrients in things like leafy green vegetables, seafood and eggs. 4. Osteoporosis is a leading chronic health condition affecting both men and women. It happens when the body can’t produce enough bone material to make up for the loss of old bone material. The result? Bones become weak, brittle and more likely to break. Half of all menopausal women will suffer a fracture, a broken bone, in their lifetime. 5. Risk factors for osteoporosis include: age over 50, female gender, family history, low body weight, menopause, poor diet, sedentary lifestyle, smoking, consuming too much protein, sodium, caffeine, or alcohol.

The relationship between hormones and bone mineral density

Did you know your hormones play a major role in keeping your bones strong and healthy? Estrogen in particular has a strong association with bone health, especially for women. Normally, estrogen helps bone tissue form and prevents it from breaking down. As a woman’s estrogen levels drop, so does her bone mineral density. This helps explain why menopause (which leads to lowered estrogen levels) is a common risk factor for osteoporosis. Other causes of reduced estrogen include missed periods due to excessive exercise or extremely low body weight. This can lead to a loss of bone mineral density in young women and teens—and once it’s lost, it may never come back. As for men, lower levels of the hormone testosterone may increase the risk for osteoporosis.

Benefits of a bone density scan

A bone density scan, also called a DEXA scan, is an important piece of tech-

nology used by clinical teams at SIU Medicine. Here are three ways a bone density scan may help you: 1. Osteoporosis often has no signs or symptoms until a bone fracture occurs. A bone density scan can detect early warning signs of osteoporosis and help physicians treat you faster and avoid future fractures, which can be life-threatening. 2. A bone density scan can also help you understand your risk for fractures and can inspire you and your doctor to make necessary

medication and/or lifestyle changes to reduce your risk. 3. Bone density scans can be used to monitor osteoporosis and guide treatment.

Are you concerned about your bone health?

SIU Medicine attracts some of the area’s most experienced clinicians, researchers, and innovators in the field of academic medicine. To find out more about your bone health with our compassionate team, contact SIU Medicine today at 217.545.8000.

Feeling Stress Over COVID-19? Call our Emotional Support Hotline. If you need help dealing with the emotional impact of COVID-19, call us. Our team of mental health experts is here for you.

217-588-5509 This free service is available 8 a.m. to 8 p.m. daily to anyone experiencing difficulty during this time.

April 2020 HEALTH QUARTERLY

5 REASONS TO USE VIRTUAL CARE IF YOU HAVE RESPIRATORY ILLNESS

Article & Photo Submitted By: Passavant Area Hospital As cold and flu season continues, and COVID-19, or novel coronavirus 2019, has spread to the United States, there are virtual tools available to help you get medical advice and free prescription delivery from select pharmacies. “Consulting with a provider from your home can help you get treatment options and help to prevent the spread of disease,” said Gina White, virtual care manager at Memorial Health System. “Most often respiratory illnesses require at-home care and there’s no need for you to leave home.” Here are five reasons to use virtual care when you have a respiratory illness: · Virtual care allows you to consult with a clinician from anywhere, even if you’re on a trip away from home or at work. · No travel involved. Traveling to an appointment or clinic location can be an inconvenience when you’re not feeling well. · Avoid busy offices and lounges. During times when there is a high volume of respiratory illness, clinics can get overwhelmed by the number of appointments. If there is a wait, virtual visits allow for you to rest comfortably at home. · Save time. Most virtual care visits take less than 15 minutes. You save time by remaining at home, filling out documentation online and speaking with a care provider sooner.

· Reduce the spread of infection. Respiratory viruses like the common cold, influenza and COVID-19 spread easily. In addition to prevention efforts like getting the flu vaccine for the flu and washing your hands regularly, the best method of preventing infection is to avoid being exposed. When you receive care at home, you can avoid spreading your illness to others. “It’s important to go to seek in-person medical care if you need it, and we can help you determine if you may need to go to a doctor’s office or the hospital,” White added.

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Rest assured, we’re here to help.

Our first priority continues to be protecting the health and wellbeing of our residents, families and employees. On-site Testing Kits

To stay ahead of Coronavirus (COVID-19), we have secured on-site testing kits for our community. In addition to symptom screening residents and employees, we can administer tests if they show symptoms, with results in 24-48 hours.

Protecting Our Residents:

• Ongoing Preventive Measures: We are monitoring and implementing CDC guidelines for health and safety.

• Connective Technology: Families and residents can stay digitally informed about their loved ones’ ongoing care.

• On-site Therapy Continues: Physical, occupational and speech therapy services have been adjusted using social distancing practices.

If you have questions, we’re always here to help. Just call for more information.

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April 2020

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April 2020 HEALTH QUARTERLY

STAY CONNECTED DESPITE SOCIAL DISTANCING Article & Photo Submitted By: Passavant Area Hospital

Thank You... … for braving the frontlines of healthcare during a pandemic. … for working long hours and making incredible sacrifices for our community’s health. … for returning to work with focus and determination, day after day. … for your generous compassion and unending empathy. … for your contributions to reducing the spread of COVID-19.

We are profoundly grateful to all who care for our patients, and we are honored to have you on our team. Thank you for being here.

Miss seeing your friends and loved ones in person? That’s because people crave human connection as a fundamental need. “Everyone feels lonely or isolated occasionally, but a pandemic and the resulting forced isolation can intensify those feelings for many of us,” said Amber Olson, LCSW, with Memorial Behavioral Health. “A heightened feeling of isolation can lead to depression, poor sleep quality, impaired thinking, poor cardiovascular functioning and impaired immunity, regardless of the age of the individual. Be mindful of your loved ones or neighbors who could benefit from a chat on the phone or a visit from across the yard. Be sure to meet your own social needs in a safe and fun way.” Consider these options for connecting with others during this time of social distancing: · Make a virtual connection. Use Zoom or other apps to open a video call with family or friends. Enter a virtual conversation space that allows you to see and talk with several people at once. Send emails or group texts. Engage in online support groups or stay in touch with your social media interest groups. · Remember old-fashioned telephone calls? Surprise an old friend by calling them and catching up. Hearing someone’s voice can provide grounding and encouragement. · Start a blog or create a digital photo journal to let others know what you have been doing. · Monitor your health and stay on top of any potential issues by talking with your physician in a virtual conversation. Memorial offers the MemorialNow app for just that purpose. · Get help if you are struggling with social isolation. Memorial Behavioral Health offers a free emotional support hotline at 217-588-5509. Also available for those experiencing emotional distress is the National Suicide Prevention Lifeline at 1-800-2738255.

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April 2020

WOMEN’S HEALTH 101: OB-GYN, MFM, REI ARE ACRONYMS YOU NEED TO KNOW

Article & Photo Submitted By: SIU Women’s Health Center March 04, 2019 | J. Ricardo Loret de Mola, MD As a woman, you may experience many unique health related issues and/ or miracles throughout your life. And as you research various topics, you may see that women’s health has a jargon specific to the field. The following guide outlines three common terms linked to women’s health.

What is OB-GYN?

OB-GYN refers to the two fields of obstetrics and gynecology, so most people use the abbreviation OB-GYN to refer to their obstetrician and gynecologist. Gynecologists specialize in women’s reproductive health, or anything to do with your female parts. Obstetricians care for you during pre-conception, pregnancy, childbirth and immediately after delivery. An OB-GYN does all these things. This doctor prescribes birth control and sees you through childbirth and menopause. This person also screens for cancer, treats infections and does some surgeries.

What is a maternal-fetal medicine specialist?

MFM is an acronym for maternal-fetal medicine. This sub-specialty of an OB-GYN is focused on managing health concerns of a high-risk mom and her unborn baby before, during and immediately after pregnancy. A doctor specializing in maternal-fetal medicine helps take care of women with high-risk or complex pregnancies. You might be high-risk if you have one or more of the following issues before you conceived:

• High blood pressure • Heart disease • Diabetes • A blood clotting disorder • An infection such as HIV If you are pregnant with multiples or have had pregnancy problems in the past, you may also be high-risk. While pregnant, your OB-GYN may refer you to a maternal-fetal medicine specialist if you: • Need special tests • An ultrasound reveals your baby has a birth defect or some other issue • You or your unborn child develops problems Working with an maternal-fetal medicine doctor while pregnant can ease worries. It can also help you feel confident that you and your baby are getting the best care you can. On the other end of the spectrum, an option for women with low-risk pregnancies is to see a midwife, which is a person trained to assist women in childbirth. Their goal is to coach and educate you through a safe and healthy pregnancy and delivery.

What is REI?

REI stands for reproductive endocrinology and infertility. Doctors who work in REI train in the medical and surgical treatment of issues dealing with a woman’s reproductive tract and delivering babies. While maternal-fetal medicine doctors work with women with high-risk pregnancies, REI specialists are skilled in helping women who are struggling to get pregnant

on their own. REI specialists work with genetic counselors and dietitians to help couples achieve their dream of having a child. REI doctors work with those coping with things such as: • Endometriosis • Polycystic ovarian syndrome (PCOS) • Male factor infertility • Tubal factor infertility Your OB-GYN might send you to an REI specialist if you’ve been trying to conceive for 6 to 12 months without success or if you have a history of miscarriages. Some women are treated by all three types of physicians: OB-GYN, maternal-fetal medicine specialist, and an REI doctor. Having all of your doctors under one roof has benefits. Recently, SIU Medicine along with HSHS St. John’s Hospital, and HSHS Medical Group unveiled a new women and children’s clinic, which also connects to the NICU at St. John’s Children’s Hospital. At the new large outpatient center, you can see highly trained doctors and get diagnostic and follow-up services with quick access to St. John’s Hospital and St. John’s Children’s Hospital. The new clinic boasts a lab. It also has a pharmacy. While at the outpatient center, you’ll have access to mammography and other imaging tests. You can also see your OB-GYN and maternal-fetal medicine in that building. Regardless of whether you are having a first child or enjoying your golden years, the new clinic will provide you with specialized care based on the latest medical research.

April 2020 HEALTH QUARTERLY

SOCIAL ISOLATION: SENIOR CITIZENS

Article Submitted By: Home Instead We were just beginning to understand the true scope and damaging effects of social isolation before the Coronavirus came along and made social isolation crucial for the survival of our most vulnerable citizens, especially our seniors. The question has now become “How do we isolate our seniors to keep them safe without cutting them off from the support networks and activities that are equally essential to their well-being?” Does the question come down to what’s more important, survival or well-being? And if so, who makes that decision when our decisions and their consequences are so intertwined? Survival is defined as the act or fact of living or continuing longer than another person or thing. While well-being is the state of being comfortable, healthy, or happy. These are not universally held priorities. Some prioritize survival and will make concessions to

their well-being to live longer. Others view their well-being as the top priority and do not wish to compromise on quality of life to live longer, essentially opting for a potentially shorter but perhaps happier existence. Some individuals may choose an extreme stance on either end of the spectrum, but for the majority that falls somewhere between wanting to be around for their loved ones for as long as possible and still maintain their quality of life, options exist. Our world has been changing in an exponential fashion since industrialization, and even more so since the internet burst onto the scene. Those dramatic leaps in technology have helped prepare us for a day when digital interaction became the only “safe” interaction. Even before the Coronavirus, families and friends had used technology and social media platforms to stay connected. For many it was a necessity to negate geographical distance. They had already

adapted to using devices to see and hear one another. Cell phones, PC’s, tablets, all found a place in the lives of many seniors. They eagerly or begrudgingly learned these new technologies because they knew it was the window into lives that were being lived far away. For those early adopters, life under quarantine isn’t quite as isolated as for those who never had the need or interest to learn a new way to communicate. Now, you may live on the same block as your loved one and still feel a world away from them. Our seniors are not the only ones who are at risk, their adult children are often at equal risk of becoming ill or being asymptomatic carriers. They may have always been there to care for their aging parents and now find themselves feeling equally vulnerable, or worse yet, fear they could expose their loved one to the deadly virus. Even if an elderly family member isn’t worried about the risk, it may be too much for their loved one’s conscience. But there is room for the traditional too. When emails, texting, Facetime, and so on don’t work for someone, there’s always handwritten letters, photographs, and artwork made by the grandkids. Everyone still enjoys receiving a real letter or package in the mail. If you live close enough you can do the ‘drive by and honk’, sing a song like Happy Birthday from the front yardChristmas isn’t the only time we can go caroling, drop off food and other necessities in a safe, no-contact way. Sometimes social isolation can have consequences beyond loneliness, depression and the other factors we were already aware of. For those with dementia or who have forgetfulness, social isolation can exacerbate that deterioration, leading people to forget to take medications, bathe, even eat and drink. They may not understand what is happening in the world around them, fear and paranoia may overtake them. Sundowning can become more severe or be a new symptom all together. If families and friends are no longer able to stay connected, they may not even be aware of what is happening behind closed doors. Luckily, for

those who are too far away or unable to help there are services that can help in the meantime. Caregiving is an essential service, whether it is being provided by loved ones, volunteers, or a licensed provider. Regardless if you are utilizing the goodness and generosity of unpaid caregivers or have decided to hire a professional caregiving service, make sure that safety is still utmost on everyone’s mind. Ensure that whomever is caring for your family are using the latest safety precautions to limit the spread of the Coronavirus. That means social distancing when possible, washing hands thoroughly and effectively, wearing gloves when providing hands on care, wearing a mask when in public and in a face-to-face setting, and monitoring themselves and their household for symptoms. If you choose to go with a professional caregiving service, ask them what protocols they have in place to safeguard their employees and your loved one. If they don’t have an answer that makes you feel comfortable putting your senior’s safety in their hands, keep looking. The right provider will be able to tell you exactly what they are doing, why they are doing it and will keep you informed throughout the tenure of their service. They should also be able to tailor services based on what your family needs, whether that is a level of virtual care, or professional, hands on care. They may have options like medication reminders, grocery/ pharmacy pickups, meal planning and preparation, bathing and incontinence care, as well as companionship. Make sure they have experience caring for individuals with any conditions relative to what your loved one is experiencing, whether that is dementia, Parkinson’s, diabetes, or other conditions. Whatever you choose to do, remember we are all in this together. Warm regards, Gina Hayes VP, General Manager Home Instead Senior Care Each Home Instead Senior Care franchise office is independently owned and operated.

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FIVE WAYS TO HANDLE COVID-19 ANXIETY

Article & Photo Submitted By: Passavant Area Hospital Healthcare organizations in the United States have been preparing for COVID-19 for weeks, but many Americans are just now becoming more aware and concerned about the pandemic’s impact on daily life. For some it was a nation-wide quarantine in Italy; for others, it was the cancellation of the NBA season or that actors Tom Hanks and Rita Wilson contracted the illness. Now it is colleges and universities sending students home and an onslaught of event cancellations on the local, state and national level. “Feeling fear and anxiety are normal,” said Amber Olson, LCSW, director of Behavioral Therapy Services at Memorial Behavioral Health. “Stress at any time can affect your well-being, and it’s important for you to take care of your mental health.” Here are five ways to manage anxiety during this time:

Take a break from social media and the news. If the constant cycle of news and information causes you stress, step away from it. Delete apps or turn off your phone to give your mind a time to recharge and refresh. Pay attention to reliable sources. Read information about COVID-19 from reliable sources including World Health Organization, Centers for Disease Control, your local health department or the Memorial Health System COVID-19 information page. Focus on what is in your control. You can’t solve every problem in the world, but you can control what’s happening in your life. Focus on what’s in your power to help you feel control in a difficult situation. Take care of your family and take steps to prevent the spread of the virus including handwashing and social distancing. Practice self-care. Get enough sleep, engage in activities that make you feel mentally and physically

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healthy and eat a nutritious diet. Ask for help. If you’re struggling and your mental health is impacted by stress, seek help from others. A licensed mental health professional can help you to learn and develop coping mechanisms to cope with stress. “If you need help, seek it out. You don’t have to

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manage on your own,” said Olson. If you need help dealing with the emotional impact of COVID -19, call us. Memorial Health System has established a free hotline staffed by a team of mental health experts. The hotline is available 8a.m. to 8 p.m. daily to anyone experiencing difficulty. Call 217-588-5509

THANK YOU TO ALL OUR HEALTHCARE HEROES AND SUPPORT STAFF FOR A JOB WELL DONE DURING THE COVID-19 PANDEMIC!

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For our latest Covid-19 updates please visit our new website or Like Us on Facebook!

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April 2020 HEALTH QUARTERLY

ARRIVAL OF COVID-19

Article Submitted By:Scott County Health Department With the arrival of COVID-19 virus in Illinois, we know that this a worrisome time in our lives, and most of us have had to make changes in the way that we go about our days . Scott County Health Department is here to help in any way that we can, but we have to do this TOGETHER as a community to take care of one another. It is up to you to stop the spread of COVID-19 in our community. Let’s stay home!!It cannot be stressed enough, that you and your family can protect themselves and others against respiratory viruses by remaining diligent with the following precautions: · Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing. · If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry. · Avoid touching your eyes, nose, and mouth with unwashed hands. · Avoid close contact with people who are sick · Put distance between yourself and other people if COVID-19 is spreading in your community. This is especially important for people who are at higher risk of getting very sick. · Stay home if you are sick, except to get medical care. · Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow. · Throw used tissues in the trash. · Clean AND disinfect frequent touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks. · If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection. · Stay home , if at all possible. · It is recommended to wear a cloth covering ( mask) when you are in a public place , in close proximity to others. If you have any questions regarding COVID-19 and your health, please contact your physician, healthcare facilities or the Scott County Health Department at 217-742-8203.

5 WAYS TO STAY HEALTHY THIS YEAR

Article & Photo Submitted By: SIU Women’s Health Center April 29, 2019 | Tabatha Wells, MD By May, most people’s New Year’s resolutions go right out the window. This year can be different! Make an effort to check in with a friend, or be self-accountable monthly and reevaluate how you’re doing with your goal to stay healthy this year. If you’ve fallen off track, get your priorities in order and make the choices to become the healthiest version you can be for yourself. Below are five of the easiest ways to stay healthy this year. Start slow by incorporating one or two of these tips at a time until you’re mastering all five. Remember, taking care of our bodies is the first step to preventive care. And, to live a long, healthy life, we need to form the habit of treating our bodies with care daily.

1. Drink More Water

The amount of water you should be drinking daily can be a bit confusing, as many sources will tell you something different. Here is an easy rule to follow. The amount of water you should drink daily is determined by a simple equation. Take your weight in pounds and divide that in half. The number you’re left with is the amount of ounces of water you should drink in a day. So if you weigh 200lbs, you would drink 100 ounces of water each day. Be mindful that the water in coffee, juice, etc. does not count toward these ounces.

2. Get Moving Daily

Any activity is better than none. Make it your goal to get up and get moving at least once a day. Ideally, you should do some form of daily exercise for at least 30 minutes. Simply walking for three 10-minute jaunts counts. Or you can go to a big indoor space, like a mall, and go walking on your lunch break. The most important step is the first one: get up and get moving. Don’t allow yourself to make excuses. Remember, exercising doesn’t just improve your physical health, but it helps with mental clarity as well.

3. Monitor Your Diet

When it comes to your diet, every little bit counts! Whatever your vice is, aim to decrease it. Whether it’s soda, candy or chips, try to lessen the amount you consume regularly. Increasing your water intake helps a lot with cutting cravings. Also shifting your focus away from depriving yourself of these vices and towards increasing your fruit and vegetable intake can also be very helpful.

4. Make Some “Me Time”

Everyone needs “me time” throughout their day to collect their thoughts and have a moment of peace. This time can consist of reading, stretching, doing yoga, meditating or going for a walk. Whatever activity allows you to take a few minutes to de-stress and focus on you is considered valuable “me time.” This time is extremely beneficial to your mental and physical health, just as valuable as exercise.

5. Get An Annual Exam

335 W Cherry, Winchester, IL 62694 217-742-8203

If you haven’t been to the doctor in a while, be sure to schedule an annual check-up with your family doctor. This is extremely important for your preventative care. At this appointment you can address any health concerns with your doctor. Expect to be screened for age-appropriate concerns, such as cholesterol, high blood pressure, diabetes, STDs, and general well being. It’s always better to catch diseases early. You may have something despite a lack of symptoms. Make your preventative care a top priority. It’s a proactive approach that will result in a healthy lifestyle.

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WELCOME TO CEDARHURST SENIOR LIVING

Article & Photos Submitted By: Cedarhurst Senior Living Rest assured, we’re here to help. At Cedarhurst of Jacksonville, our first priority continues to be constant protection of the health and wellbeing of our residents, families and employees. We realize that during these uncertain times, seniors and their families are looking for reassurance if they are considering making a move. We can help.

Proactive, Preventive Steps

As a result of our proactive efforts, we have secured on-site testing kits through our partnership with three private labs. Along with symptom screening residents twice a day and our employees when they arrive for work, we can now administer testing to residents or employees that show symptoms. And results are known within 24-72 hours. In addition to this important access to testing and our ongoing preventive measures, we are closely monitoring CDC and federal, state and local Coronavirus (COVID-19) guidelines for health and safety.

Other Steps to Protect and Support our Residents:

· Connective Technology: Our partnership with Caremerge assures our residents and families stay digitally connected and informed about their loved ones’ ongoing care and wellness. · EmpowerMe Wellness Therapy Continues: Important physical, occupational and speech therapy services have been adjusted using in-room therapy and social distancing practices. · Adjustments to Dining: Our meals continue to be fresh, healthy and delicious, but we have changed our dining practices to align with CDC guidelines regarding social distancing. Activities have been adjusted as well.

· Caring, Supportive Staff: We are fortunate to have ample resources and dedicated employees. Our Cedarhurst Response Team vigilantly monitors the safety of our community around the clock.

Experience the Cedarhurst Difference

At Cedarhurst, we provide truly person-directed care, taking the time to know and support residents as individuals, providing them with care that’s as unique as they are. Whether in Assisted Living or Memory Care, our experienced and dedicated staff, first-rate amenities, charming community and welcoming, supportive atmosphere make Cedarhurst a secure, enriching place to live. Here, individual attention informs almost everything we do. You can see it in the wide array of engaging, tailored activities. Hear it in the warm interactions between our compassionate staff and our residents. Taste it in a special dish prepared by our chef from a resident’s favorite recipe. And feel it in every apartment, as well as our beautiful outdoor courtyard.

Assisted Living

Our approach to Assisted Living is shaped by respect and understanding of the unique lives of our residents. Together, we work with you, your family and your physicians to determine what aspects of your life you want or need additional assistance with. Our trained healthcare professionals use their expertise and genuine respect for our residents to serve you in ways that encourage independence, dignity and individuality.

Memory Care

As a Memory Care community, we not only take care of each resident’s needs, we provide important resources to treat memory loss. Only Cedarhurst cares for

the memory of each resident with inclusive, custom-tailored programming versus traditional memory care. A physician and nurse practitioner see our residents every week and get to know them personally. Our staff is specially trained by a Certified Dementia Practitioner and takes continuing education modules focused on dementia. And we have expanded our Memory Care neighborhood, with additional units opening late summer.

Life Enrichment

At Cedarhurst, we provide an active, thriving lifestyle that keeps our residents engaged—physically, cognitively and emotionally. For now, our focus is on in-room activities and shared “hallway” experiences. We look forward to returning to an activity schedule of family events, book clubs, walking clubs, movies, live entertainment, arts and crafts, religious services and much more. Everything on the schedule is driven by what our residents enjoy doing, and we’ve seen that residents who are actively engaged retain healthy cognitive skills, have higher self-esteem and even stronger immune systems. At Cedarhurst, active, joyful moments are part of the daily routine.

Security and Safety

The safety and security of our residents is of great importance, and emergency

pendant programs and response systems are provided for added peace of mind. Every resident in both Assisted Living and Memory Care receives ongoing assessments and health monitoring by licensed nurses, and we keep families connected to their loved one’s care and wellness with an electronic health records platform. Every Memory Care neighborhood has been carefully designed to give residents a safe and secure setting to live and enjoy daily activities.

On-site Therapy

EmpowerMe Wellness provides pharmacy and one-on-one therapy services, and is designed to deliver comprehensive emotional, physical and intellectual care right in the Cedarhurst community. These services are fully integrated, a part of daily routine, and personalized for

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each resident by our expert team. This integration of care provides a holistic approach, customized to the needs of each individual. The EmpowerMe Wellness team is full-time, so they’re available whenever someone has a question or just wants to say hello.